ClinicalTrials.gg
Active, not recruitingNCT03523858CONSONANCEUpdated Jul 23, 2026

A Study to Evaluate Ocrelizumab Treatment in Participants With Progressive Multiple Sclerosis

A Phase 3 interventional study of Ocrelizumab in Progressive Multiple Sclerosis (PMS), sponsored by Hoffmann-La Roche. Active, not recruiting at 120 sites in 24 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-23.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
927
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study is a prospective, multicenter, open-label, single-arm effectiveness and safety study in participants with progressive multiple sclerosis (PMS).

02

Conditions studied

  • Progressive Multiple Sclerosis (PMS)
03

In context

Multiple Sclerosis, Chronic Progressive

244 studies on the registry are indexed under Multiple Sclerosis, Chronic Progressive; 53 are open to participants now.

This study's enrollment of 927 is above the median of 54 across 189 interventional studies indexed under Multiple Sclerosis, Chronic Progressive.

Browse Multiple Sclerosis, Chronic Progressive studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Have a definite diagnosis of PMS (as per the revised McDonald 2010 criteria for PPMS or Lublin et al. 2014 criteria for PMS)
  • EDSS (Expanded Disability Status Scale) \</ =6.5 at screening
  • Have a documented evidence of disability progression independent of relapse at any point over the 2 years prior to the screening visit. In case relapse(s) have occurred in the last 2 years, disability progression will have to be considered as independent of relapse activity as per treating physician's judgment
  • Fulfill at least one of the 21 criteria assessing the evidence of disability progression independent of relapse activity in the last 2 years using the pre-baseline disability progression rating system checklist
  • Have experience of having used a smartphone and connecting a smartphone to Wi-Fi network providers
  • For women of : agreement to remain abstinent or use acceptable methods during the treatment period and for at least 6 months, or longer if the local label is more stringent after the last dose of study drug

Exclusion Criteria:

  • Relapsing-remitting multiple sclerosis (RRMS) at screening
  • Inability to complete an MRI
  • Gadolinium (Gd) intolerance
  • Known presence of other neurological disorders

Exclusions Related to General Health:

  • Pregnancy confirmed by positive serum β human chorionic gonadotropin (hCG) measured at screening
  • Lactation
  • Any concomitant disease that may require chronic treatment of systemic or during the course of the study
  • History or currently active primary or secondary immunodeficiency
  • Lack of peripheral venous access
  • Significant or uncontrolled somatic disease or any other significant disease that may preclude participant from participating in the study.
  • Active infections must be treated and resolved prior to the first infusion of ocrelizumab
  • Participants in a severely immunocompromised state until the condition resolves
  • Participants with known active or being actively monitored for recurrence of malignancy
  • Participants who have or have had confirmed progressive multifocal leukoencephalopathy (PML)

Exclusions Related to Laboratory Findings:

  • Positive screening tests for
  • \<250/μL
  • ANC \<1.0 × 103/μL
  • /SGOT or ALT/SGPT ≥3.0 × in combination with either an elevated total (>2 X ULN) or clinical jaundice

Exclusions Related to Medications:

  • to ocrelizumab or to any of its
  • Previous treatment with ocrelizumab
  • Previous treatment with B-cell targeted therapies (i.e., atacicept, tabalumab, belimumab, ofatumumab, or obinutuzumab). Note: previous treatment with rituximab is allowed as long as the last dose was administered more than 6 months before the ocrelizumab infusion AND if discontinuation was due to adverse events or immunogenicity AND if Bcell levels are above the lower limit of normal (LLN) prior to screening.
  • Any previous treatment with alemtuzumab (Campath/Mabcampath/Lemtrada), total body irradiation, or bone marrow transplantation
  • Previous treatment with natalizumab where PML has not been excluded according to specific algorithm
  • to or intolerance of oral or intravenous (IV) corticosteroids, including methylprednisolone administered IV, according to the country label
  • Systemic corticosteroid therapy within 4 weeks prior to screening
  • All vaccines should be given at least 6 weeks before the first infusion of ocrelizumab, unless the local regulations allow for a shorter interval. Live/ should be avoided during treatment and safety follow-up period until B cells are peripherally repleted
  • Previous treatment with daclizumab, ozanimod or figolimod in the last 8 weeks
  • Previous treatment with siponimod in the last 2 weeks
  • Treatment with fampridine/dalfampridine (Fampyra)/Ampyra) or other symptomatic MS treatment unless on stable dose for ≥30 days prior to screening
  • Previous treatment with natalizumab in the last 12 weeks.
  • Previous treatment with teriflunomide in the last 12 weeks. This can be shortened if an accelerated elimination procedure is implemented before screening visit. One of the following elimination procedures can be used:
  • Cholestyramine 8 g administered 3 times daily for a period of at least 7 days (cholestyramine 4 g three times a day can be used, if cholestyramine 8 g three times a day is not well tolerated)
  • Alternatively, 50 g of activated powdered charcoal is administered every 12 hours for a period of at least 7 days.
  • Previous treatment with azathioprine, cyclophosphamide, mycophenolate mofetil or methotrexate in the last 12 weeks
  • Treatment with any agent within 24 weeks of screening (Visit 1) or five half-lives of the investigational drug (whichever is longer) or treatment with any experimental procedures for MS
  • Previous treatment with mitoxantrone, cyclosporine or cladribine in the last 96 weeks
  • Participants previously treated with teriflunomide within the last two years, unless measured plasma concentrations are less than 0.02 mg/l. If above or not known, an accelerated elimination procedure should be implemented before screening visit
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
927 participants (actual)

Study arms

  • Experimental
    Ocrelizumab

    Ocrelizumab will be administered via intravenous (IV) infusion.

    Drug: Ocrelizumab

Interventions

  • Ocrelizumab will be administered via intravenous (IV) infusion at an initial dose of two 300-mg infusions separated by 14 days (on Days 1 and 15), and then 600 mg at every subsequent dose every 24 weeks for the remainder of the study treatment period (approximately 192 weeks)

06

What researchers measure

Primary outcomes

  1. Proportion of Participants with No Evidence of Progression (NEP)

    NEP is defined as no progression sustained for at least 24 weeks on all of the following three components (confirmed disability progression \[CDP\]; ≥20% increase in timed 25-foot walk test \[T25FWT\]; ≥20% increase in nine-hole peg test \[9HPT\])

    Time frame: From Baseline to Week 96, Week 96 to Week 192 and Baseline to Week 192

  2. Proportion of Participants with no evidence of progression and no active disease (NEPAD)

    NEPAD is defined as no progression sustained for at least 24 weeks on all of the three components of NEP (CDP, T25FWT, 9HPT), no protocol-defined relapse, no enlarging or new T2 lesion, and no T1 gadolinium (Gd+)-enhancing lesion

    Time frame: From Baseline to Week 96, Week 96 to Week 192 and Baseline to Week 192

Secondary outcomes

  1. Change from Baseline in Cognitive Function, as Measured by the Symbol Digit Modalities Test (SDMT)

    Time frame: Baseline to end of study (Week 192)

  2. Change from Baseline in Cognitive Function, as Measured by Brief Visuospatial Memory Test - Revised (BVMT-R)

    Time frame: Baseline to end of study (Week 192)

  3. Mean Change from Baseline in the Expanded Disability Status Scale (EDSS) score over the course of the study

    Time frame: Baseline to end of study (Week 192)

  4. Time to Onset of First Confirmed Disability Progression (CDP) Sustained for at least 24 and 48 Weeks

    Time frame: Baseline to onset of first CDP (as measured by EDSS) sustained for at least 24 and 48 weeks

  5. Time to Onset of First >=20% Increase in Timed 25-foot Walk Test (T25FWT) Sustained for at least 24 Weeks

    Time frame: Baseline to onset of first >=20% increase in T25FWT sustained for at least 24 weeks

  6. Time to Onset of First >=20% Increase in 9 Hole Peg Test (9HPT) Sustained For At Least 24 Weeks

    Time frame: Baseline to onset of first >=20% increase in 9HPT sustained for at least 24 weeks

  7. Proportion of Participants with NEP

    Time frame: Week 24 to Week 96, Week 24 to Week 192, and Week 48 to Week 192

  8. Proportion of Participants with NEPAD

    Time frame: Week 24 to Week 96, Week 24 to Week 192, Week 48 to Week 192

  9. Change from Baseline in Patient-Reported Outcomes (PROs)

    PROs collected in this study will be the Multiple Sclerosis Impact Scale (MSIS-29), the Multiple Sclerosis Walking scale (MSWS-12), the ABILHAND-56 Questionnaire, Fatigue Scale for Motor and Cognitive function (FSMC), SymptoMScreen, 88-item Multiple Sclerosis Spasticity Scale (MSSS-88), Numerical Pain Rating Scale (NPRS), and the Patient Global Impression of Severity (PGIS) for upper limb, lower limb and cognitive function

    Time frame: Baseline to end of study (Week 192)

  10. Change from Baseline in the number of falls and near-falls

    Time frame: Baseline to end of study (Week 192)

  11. Change in Whole Brain Volume (Whole, Cerebral White Matter, Cortical Grey Matter, Deep grey matter)

    Time frame: Baseline to end of study (Week 192)

  12. Change in thalamic volumes

    Time frame: Baseline to end of study (Week 192)

  13. Change in whole and regional cerebellar volume (cervical cord grey and white matter area)

    Time frame: Baseline to end of study (Week 192)

  14. Change in cervical cord cross-sectional area (total, white matter and grey matter)

    Time frame: Baseline to end of study (Week 192)

  15. Change in number of new/enlarging T2 lesions and total T2 Lesion Volume

    Time frame: Baseline to end of study (Week 192)

  16. Change in number of T1 Gadolinium (Gd)+ Lesions and total volume

    Time frame: 'Baseline to end of study (Week 192)

  17. Change in number of T1 lesions

    Time frame: Baseline to end of study (Week 192)

  18. Number in total volume of T1 lesions

    Time frame: Baseline to end of study (Week 192)

  19. Change in Slowly Evolving Lesions (SEL)

    Time frame: Baseline to end of study (Week 192)

  20. Change in normalised T1 intensity/T1 Gd+ enhancement in New Focal T2 Lesions, SELs, Persistent Areas of Non-SEL T2 Lesions, and Normal-Appearing Brain Tissue

    Time frame: Baseline to end of study (Week 192)

  21. Change in Gd-enhancing late-Fluid-Attenuated Inversion-Recovery (FLAIR) Meningeal Lesions

    Time frame: Baseline to end of study (Week 192)

  22. Change in the number/ spatial distribution of lesions in the cervical spinal cord

    Time frame: Baseline to end of study (Week 192)

  23. Spectroscopic MR: Measure of the Relative Signal Amplitude of N-Acetyl Aspartate (NAA), and Choline to Creatine

    Only in centers with 1.5-Tesla MRI capable to perform it

    Time frame: Baseline to end of study (Week 192)

  24. Measure of phase rim lesions using a Susceptibility-Weighted Imaging [SWI]/T2 sequence

    Only in centers with 3-Tesla MRI capable to perform it, where this sequence would replace the spectroscopic MR in the acquisition flow

    Time frame: Baseline to end of study (Week 192)

  25. Percentage of Participants with Adverse Events (AEs)

    Time frame: Baseline to end of study (Week 192)

  26. Rates of study treatment discontinuation due to adverse events

    Time frame: Baseline to Week 192

07

Study locations

120 sites

Showing the first 100 of 120 sites across 24 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Kappos L, Yiu S, Dahlke F, Coetzee T, Cutter GR, Yuen S, Bonati U, Lublin FD. Composite Confirmed Disability Worsening/Progression Is a Useful Clinical Endpoint for Multiple Sclerosis Clinical Trials. Neurology. 2025 May 27;104(10):e213558. doi: 10.1212/WNL.0000000000213558. Epub 2025 Apr 21. PubMed 40258203 ↗

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2018 (actual). Primary completion is estimated for Oct 2026, 100 months after the start.

Of 20 phase 3 interventional studies under Multiple Sclerosis, Chronic Progressive, half reached primary completion within 61 months of starting (the median), counting those still running; a quarter within 52 and three quarters within 83. This study's planned 100 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 16, 2018
First posted
May 14, 2018
StartActual
May 28, 2018
Primary completionEst.
Oct 22, 2026
CompletionEst.
Oct 22, 2026
Last update
Jul 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03523858
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
May 14, 2018
Start date
May 28, 2018
Primary completion
Oct 22, 2026 (estimated)
Completion
Oct 22, 2026 (estimated)
Last update
Jul 23, 2026

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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Studies of the drug tested here: Ocrelizumab

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